Enloe-Whitaker, Suzanne Ellen
Enloe-Whitaker, Suzanne Ellen is an individual health care provider with primary practice located at 1700 North Waterman Ave , San Bernardino CA 92404-5105. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Enloe-Whitaker, Suzanne Ellen can be contacted via phone (909) 883-8611.Contact Information
Primary practice address
1700 North Waterman Ave
San Bernardino CA 92404-5105
Phone: (909) 883-8611
Fax: (909) 886-1798
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 20A7535 | California |
Profile Details
| NPI number | 1720058415 |
|---|---|
| LBN Legal business name | Enloe-Whitaker, Suzanne Ellen |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Mar 11th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720058415 | NPPES |
| California | MEDICAID | 00AX75350 |
Popular Providers
-
Briccetti, Albert B
732 Carnegie Dr Regal Medical Group - Suite 125, San Bernardino CA 92408-3500 -
Nguyen, Katherine H.Y.
200 W Arbor Dr , San Diego CA 92103 -
Bush, Thomas Martin
2400 Moorpark Ave Ste# 118 Rhematology Clinic, San Jose CA 95128-2631 -
Gecht, Elaine Rima
302 Silver Ave Jewish Home For The Aged, San Francisco CA 94112-1510 -
Matloubian, Mehrdad
400 Parnassus Ave Plaza Level, San Francisco CA 94143-2202 -
Birnbaum, Neal Sheldon
2100 Webster St Ste 112, San Francisco CA 94115-2373 -
Stevens, Michael Popkin
101 S San Mateo Dr Suite 307, San Mateo CA 94401-3819 -
Jabri, Karam Talal Gebraiel
1700 N Waterman Ave , San Bernardino CA 92404-5115